Individual provider Active NPI

Victor Eugene Loos, PH.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1154353597
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-3466 Issued in TX
Practice address
2524 Nottingham St
Houston, TX 77005-1412
Phone
(713) 526-4751
Fax
(713) 526-4342
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-3466 TX Primary

Addresses

Primary practice location

2524 Nottingham St
Houston, TX 77005-1412

Mailing address

2524 Nottingham St
Houston, TX 77005-1412
Phone (713) 526-4751

Other identifiers 3

IdentifierTypeStateIssuer
180170OtherTXVALUE OPTIONS
00K72HOtherTXBCBS OF TX
10016996OtherTXAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001797 TX Practitioner - Clinical Psychologist 9335464155 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2524 Nottingham St
Houston, TX 77005-1412
Phone (713) 526-4751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-3466TXMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154353597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 NOTTINGHAM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051412",
            "telephone_number": "713-526-4751",
            "fax_number": "713-526-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 NOTTINGHAM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051412",
            "telephone_number": "713-526-4751",
            "fax_number": "713-526-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOS",
        "first_name": "VICTOR",
        "middle_name": "EUGENE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "180170",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00K72H",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016996",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.